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Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
HR8C4456AA9714
Number

Father/Mother
Name BANTI KUMAR SINGH MADAN SINGH
Name
Mobile *******827 Aadhar Number ********7400

email ID BANTIJSR2007********** Date of Birth : 10/11/1983

Gender : Male Category: UR
Can You ride a
PH : - Yes
bicycle
Whether
Whether
Yes Employer NOC is Yes
Employed :
available

Address Details
Present Address Permanent Address
C 447
KL 24 /6
Door No. C 447 KOEL Door No.
TELCO
Street NAGAR Street
COLONY
ROURKELA
City/Village ROURKELA City/Village JAMSHEDPUR

Panchayat/Mandal/Dist ROURKELA Panchayat/Mandal/Dist east singhbhum

Pincode 769008 Pincode 769004

Marks/Grades/Points
Indian Certificate
of Secondary
State & Year of Passing
Jharkhand - 2000 Board Education with 7
10thclass
Subjects (From
1975 to 2017)

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Result Type Marks Board Remarks: N

Subject Marks/Grades/Points
English 62
Science(Physics,
98
Chemistry & Biology )
Commercial Studies 90
Hindi 64
Mathematics 89
Histroy, Civics and
79
Geography
Other Official Foreign
58
Language

Declarations:
1. I am able to ride bicycle/scooter/motor cycle for performing my duty as a GDS
BPM/ABM/Dak Sevaks.(Annexure III)
2. I declare that I have not done any duplicate registration with another email/mobile
number and I understood that my candidature will be disqualified for all the
purposes if found as duplicate registration.
3. I hereby undertake to declare that I am a computer literate and I will be able to use
smart phone/laptop/handheld device supplied by the Department from the first day
of engagement.
4. I will have other sources of income besides the TRCA and allowances to be paid by
the Government to support livelihood for myself and my family, in the event of my
engagement to the post of Gramin Dak Sevak BPM/ABPM/Dak Sevaks.
(Annexure IV)
5. I am not holding an elective office will be considered for engagement to the post
and does not engaged in any activity with any outside agency, which would be
detrimental to the business or interest of the Post Office
6. I have studied and understood the condition of residence and accommodation as
per the notification clause 12 and here by declare that I will be abiding to meet the
requirements if got the engagement
7. I declare that I will submit the required certificates of 10th Marks Memo,
Photograph, Identity Proof, community(SC/ST/OBC)/disability(PWD
A/B/C/D/E)/EWS in the prescribed format at the time of document verification if
got engagement
8. I undertake that I have studied notification document thoroughly and found myself
eligible for the post of GDS/ABPM/DakSevak
9. I hereby undertake to declare that, the details furnished by me (i.e.
Age/Address/Educational qualifications/Computer
knowledge/EWS/PwD/Casteetc.) on the basis of which I am applying for the posts
of GDSBPM/ABPM/DakSevak are true to the best of my knowledge and belief . I
also undertake that, in case, any detail submitted by me is found to be false at any
stage of engagement process/during engagement, my candidature shall be liable to
be rejected against all the vacancies, applied for, or after my engagement, I shall be
terminated under GDS (Conduct and Engagement) Rules. I also understood that I
shall be liable for criminal/legal action for producing any of false
details/documents etc.

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Date: 15/02/2023 23:59:20

Annexure - Posts applied for Jharkhand, Singhbhum Division with Preference

order:
Preference Post Name
1 Gobindpur B.O-GDS BPM - UR - Rs.12000 (Hindi)
2 Govindpur BO-GDS BPM - UR - Rs.12000 (Hindi)
3 Tantnagar BO-GDS BPM - UR - Rs.12000 (Hindi)

Division selected for document verification is Singhbhum Division (Jharkhand)

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